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目的探讨高龄晚期喉癌的治疗方法。方法对13 例喉癌患者应用S e ld in g e r 技术,股动脉穿刺插管,用SF 多功能导管,超选择性插入甲状腺上动脉及甲状颈干动脉,颈部血管造影证实灌入吡柔比星、丝裂霉素、卡铂化疗药物并用40%的超液化碘油5 ~8ml 与部分化疗药物混合后栓塞肿瘤血管,最后用明胶海绵颗粒栓塞肿瘤供血动脉。结果介入化疗后本组患者无严重并发症。随访3 年,3 例因其他疾病死亡(其中1 例死于脑出血,2 例死于糖尿病肺部感染),3 例有颈部及肺部转移而死亡;其他7 例未见明显恶化及远处转移。结论介入化疗对高龄晚期喉癌是一种可靠的姑息疗法
Objective To investigate the treatment of advanced laryngeal cancer. Methods Thirteen cases of laryngeal cancer were treated with S e ld in ger technique, femoral artery puncture and intubation, SF multi-function catheter, super selective insertion of thyroid artery and thyroid artery, neck angiography confirmed perfusion of pirarubicin Star, mitomycin, carboplatin chemotherapy drugs and 40% of ultra-liquefied lipiodol 5 ~ 8ml with some chemotherapy drugs after the embolization of tumor blood vessels, and finally with gelatin sponge particles embolization of the tumor feeding artery. The results of interventional chemotherapy in this group of patients without serious complications. Three patients were followed up for 3 years, 3 died of other diseases (1 died of cerebral hemorrhage and 2 died of diabetic pulmonary infection), and 3 died of neck and lung metastasis. The other 7 patients showed no obvious deterioration and far Department transfer. Conclusion Interventional chemotherapy is a reliable palliative treatment for advanced advanced laryngeal cancer